| NPI | 1083644595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002225) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 071700125) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-04-23 |